| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.26 | $131.26 | $150.99 | |
Cigna
| Professional | $181.50 | $183.32 | $230.51 | |
Medica
| Facility | $131.26 | $150.99 | $181.59 | |
Medica
| Professional | $61.78 | $72.34 | $951.02 | |
United
| Professional | $58.04 | $61.78 | $90.59 |